KC MEDICAL CONCEPT, LLC
NPI 1407127525
Clinic/Center in Port Jefferson Station, NY

Active since January 20, 2012
102B ROUTE 112, PORT JEFFERSON STATION, NY 11776(631) 509-4774 Get Directions Write a Review

NPPES record last updated: April 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kc Medical Concept, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KC MEDICAL CONCEPT, LLC (NPI 1407127525) is a healthcare organization registered as a clinic/center in Port Jefferson Station, New York and active in the NPI registry since January 2012. The organization lists Karen Mourtzikos, Director, as its authorized official.

NPPES Registry Identity

NPI1407127525
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKC MEDICAL CONCEPT, LLC
Location Address102B ROUTE 112Port Jefferson Station, NY 11776-1018
Mailing Address102b Route 112Port Jefferson Station, NY 11776-1018 · (631) 509-4774
Organization SubpartNo
Authorized OfficialKaren MourtzikosDirector · (631) 509-4774
Enumeration DateJanuary 20, 2012
Last NPPES UpdateApril 23, 2013
NPI 1407127525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
102B ROUTE 112, Port Jefferson Station, NY 11776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kc Medical Concept, LLC's NPI number?

The NPI number for Kc Medical Concept, LLC is 1407127525. It was assigned to this organization in the NPPES registry on January 20, 2012.

Where is Kc Medical Concept, LLC located?

Kc Medical Concept, LLC is located at 102B Route 112, Port Jefferson Station, NY 11776. The listed phone number is (631) 509-4774.

What is Kc Medical Concept, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kc Medical Concept, LLC was last updated on April 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.